Individual
MS. MIRANDA LYNN JONESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2201 SE LOOP 820 (126), AUDIOLOGY CLINIC, FORT WORTH, TX 76119
(817) 730-0179
Mailing address
2201 SE LOOP 820 # FW126, FORT WORTH, TX 76119-5863
(309) 339-8728
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
12300971-4101
UT
Other
Enumeration date
06/15/2021
Last updated
03/12/2022
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